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18yo male, 5 weeks into first Test E cycle, experiencing high E2 (72 pg/mL) and high Prolactin (34.40 ng/mL) with active early gyno symptoms (itching, tingling, and puffiness in both areolas for the last 6 days, no hard nodules felt yet). Strength and muscle fullness are increasing significantly. The issue could be due to the total dosage amount itself, or my initial protocol where for the first 4 weeks I ran an asymmetric rotation schedule (alternating 1mL and 0.5mL injections on Tuesdays and Fridays, total ~350-375mg/week of Testosterone Enanthate 250mg/mL). This highly asymmetric dosing likely caused severe hormonal spikes and up-regulated my aromatase activity. My week 5 bloodwork (drawn fasted, early morning, 84h post-injection) shows: Total Testosterone >15.00 ng/mL (Pre-cycle: 5.16), 17-Beta Estradiol at 72 pg/mL (Pre-cycle: 24, Range: 11-43), Prolactin at 34.40 ng/mL (Pre-cycle: 17.10, Range: 4.04-15.20), Hematocrit at 44% (Pre-cycle: 41%), and WBC at 11.60 Milam/cL (Pre-cycle: 7.60). I am trying to figure out the best corrective strategy. My current idea is to drop the dose to a stable 300mg/week split into perfectly symmetrical injections of 150mg (0.6mL) every Tuesday and Friday to flatten blood levels, and introduce Tamoxifen (Nolvadex) at 10mg ED to protect the breast tissue while preserving circulating E2. My plan would be to run this fixed protocol for 4 full weeks until October 23rd to let the Test E reach a clean steady-state, then draw blood at true trough (Friday morning, right before the injection) to see if E2/Prolactin drop naturally. I want to ask for your opinions: Is this a solid approach, or am I making a mistake? Should I use a low-dose AI (like Arimidex) instead of Nolvadex right away given the high numbers, or is dropping the test dose and switching to a symmetric schedule enough to fix the root cause? Any feedback on this strategy would be highly appreciated.
